01 · Who Lillian works with

Lillian works with stress, Anxiety, trauma and abuse and grief

Lillian lists 11 specialisms and 15 further focus areas. Specialisms are the subjects Lillian chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Lillian's own words

What Lillian says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

You are taking the first step to help yourself seeking for support. Welcome to BetterHelp. My hope is to be able to work with you; and through our working together you will achieve what you are looking for. I am a licensed clinician with almost thirty years of experiences in various settings, such as child welfare agency, victim treatment center and hospitals. I have worked with children, adolescents, and adults with a diverse challenges at various stages of their lives. Some of these are stress, depression, anxiety, relationship difficulties, domestic violence, trauma, PTSD, living with cancer, aging and etc. Throughout my practices, I have learned so much from my clients. I take the client centered approach and utilize client’s strength to build on and find effective intervention. I truly believe that a healthy and supportive therapeutic partnership is the correct method. You are the important participant in development of your treatment plan. No matter what challenge you are struggling with, let me join your journey to find inner peace.

Lillian Tsai, on the BetterHelp listing · read 7 Oct 2026

03 · How Lillian works

The 5 approaches Lillian lists, in plain English

These are the clinical methods Lillian lists. The descriptions are Maker Therapy's, not Lillian's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Lillian runs a session.

Client-Centred TherapyPerson-centred · Rogerian

The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.

Cognitive Behavioural TherapyCBT

Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.

Emotionally Focused TherapyEFT

Built for couples and rooted in attachment: the recurring argument is treated as a cycle two people are stuck in rather than as one person's fault. Sessions work to interrupt the cycle and get to what each person is actually asking for underneath it.

Solution-Focused Brief TherapySFBT

Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.

Trauma-Focused TherapyTF-CBT · trauma-informed

CBT adapted for people whose difficulty is rooted in a frightening or overwhelming event. Pacing is the point: safety and stabilisation come first, the memory itself is approached gradually and only when you are ready, and the aim is that recalling it stops hijacking the present.

Also listed

• Existential Therapy

04 · What happens next

From this page to a first session

Lillian practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Lillian's own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Lillian at this point.

2. Naming Lillian specifically

   BetterHelp matches algorithmically by default, so asking for Lillian is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Lillian.

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

4 questions worth asking Lillian

Built from what Lillian actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Lillian's - Lillian has not seen them and is under no obligation to answer any of them.

• “You list both Cognitive Behavioural Therapy and Client-Centred Therapy. Which do you lean on with someone like me?”

  Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

• “How do you decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “With 20 years in, what has changed most in how you work?”

  Long experience is only an advantage if it has been examined. This tends to surface whether it has.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential

LCSW

Licensed in

New York

Licence

NY LCSW 042265

Licence number

042265

Licence expires

30 Jun 2027

NPI

1750983110

Years in practice

20

Gender

Female

Languages

English, Mandarin

International clients

Accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Lillian's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 7 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Lillian. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.